| Kintegra At Fred T. Foard High | |
|
3407 Plateau Rd Newton NC 28658-8809 | |
| (704) 462-1496 | |
| (704) 462-1988 |
| Full Name | Kintegra At Fred T. Foard High |
|---|---|
| Speciality | Clinic/Center |
| Location | 3407 Plateau Rd, Newton, North Carolina |
| Authorized Official Name and Position | Sharmila Alexander Anderson (BUSINESS SERVICES ADMINISTRATOR) |
| Authorized Official Contact | 7048741907 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kintegra At Fred T. Foard High 200 E 2nd Ave Gastonia NC 28052-4358 Ph: (704) 874-1900 | Kintegra At Fred T. Foard High 3407 Plateau Rd Newton NC 28658-8809 Ph: (704) 462-1496 |
| NPI Number | 1306481957 |
|---|---|
| Provider Enumeration Date | 11/07/2019 |
| Last Update Date | 12/20/2019 |
| Medicare PECOS PAC ID | 5496733925 |
|---|---|
| Medicare Enrollment ID | O20200326001073 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306481957 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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